5 things you MUST know before getting a knee replacement

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  • เผยแพร่เมื่อ 11 พ.ค. 2024
  • In this video Professor Bellemans explains 5 things you must know before you get a knee replacement.
    Why is your knee replacement painful?:
    • Why is your Knee Repla...
    00:00 Introduction
    00:06 Do you have bone on bone friction?
    01:09 Do you need unicompartimental or full knee replacement?
    02:07 15% is unsatisfied after a knee replacement
    02:30 Are the specifics of a knee implant important?
    03:15 Do you need robot surgery?
    03:55 The 5 things you must know before getting a knee replacement
    You can find my book on sport-injuries (only available in dutch) in the link down below:
    www.standaardboekhandel.be/p/...
    If you would like an english version let me know in the comments.
    gritsportsclinic.be
    arthroclinic.be
    Infographics: / gritsportsclinic

ความคิดเห็น • 708

  • @ademersoy7332
    @ademersoy7332 ปีที่แล้ว +351

    I’ve been bone on bone for over 2 decades. Initially orthopaedics said your too young to have a full knee replacement. I listened to the doctors for all those years. I’ve been having so much pains, living off pain killers and ointments. I’m now 51 and it’s come to a point, I can’t take the pain any more. I had a total knee replacement it’s been so far 3 weeks and all ready I’m walking up and down stairs. I know it’s a long road to recovery. I’m optimistic I’ll be hopefully walking pain free again one day.

    • @debojyotisaha196
      @debojyotisaha196 ปีที่แล้ว +9

      How are you doing now ?😄

    • @ademersoy7332
      @ademersoy7332 ปีที่แล้ว +29

      @@debojyotisaha196 I’m doing fine and it’s been so far 8 weeks since surgery and walking but still there’s a little pain. I know this pain is temporary and pain free days are ahead waiting for me.

    • @debojyotisaha196
      @debojyotisaha196 ปีที่แล้ว +16

      @@ademersoy7332 All the best, continue physio. Hope you will be pain-free soon

    • @marybyrnebyrne2360
      @marybyrnebyrne2360 ปีที่แล้ว +7

      Good for you I'm 17 days after getting my right knee fully replaced .Still I'm a bit of pain I can walk up down stairs too slowly .my lower back is sore neck too from the crutches

    • @ademersoy7332
      @ademersoy7332 ปีที่แล้ว +13

      @@marybyrnebyrne2360 what ever you do Mary don’t stop the exercises. Especially strengthening and try to walk straight. Walk slow but straight. Pain will eventually get lighter after 6 weeks. Hot showers, spa does wonders. Keep on taking those prescribed medication. You’ll be fine.

  • @RalphGrimes
    @RalphGrimes ปีที่แล้ว +162

    55 years old. Bone on bone. Swollen beyond belief. Had total knee replacement surgery on my right knee. Best thing I’ve ever done. Zero pain now. Truly a blessing from heaven

    • @Postal4x4
      @Postal4x4 ปีที่แล้ว

      I am 55 as well with a bad left knee. Sports and an ACL rebuild has taken its toll. Now, I can't use stairs, it is constantly swollen and painful. Just got my referral from my orthopedic surgeon who repaired my detached bicep. I can't wait to hear what the surgeon says!

    • @j.m.p8051
      @j.m.p8051 ปีที่แล้ว

      How long ago did you have your TKR?

    • @raeoden9939
      @raeoden9939 11 หลายเดือนก่อน +9

      Just had a TKR in April. I thought I'd be completely incapacitated. I was so wrong. Modern technology is amazing. It was day surgery for me. I've been fortunate and blessed that my recovery has been a speedy one. Not as painful as I thought it would be. I'm doing very well. And I'd do it again if I had to.

    • @robertomazzaroni675
      @robertomazzaroni675 11 หลายเดือนก่อน

      How old re u?

    • @raeoden9939
      @raeoden9939 11 หลายเดือนก่อน +1

      @@robertomazzaroni675 I'm 57.

  • @hawghead4596
    @hawghead4596 2 ปีที่แล้ว +29

    I had total knee replacement in 2019, at71 years of age. I was in the hospital 2 and 1/2 days, came ho and started physical therapy at home. After three days of pt at home I was walking without a walker, went to out of home two times a week for 6 weeks, and I have had no problem at all. Been playing golf for two years. Best move I ever made, no pain what so ever.

  • @dj1211
    @dj1211 7 หลายเดือนก่อน +13

    Thank you for this video, it confirms I did the right thing. I had bi-lateral knee arthroscopy 3 months apart starting 4 months ago. I was bone on bone with variable pain but reduced knee flexibility. Now my range of motion is greatly increased with practically no pain...still working on navigating stairs. I am 57.

  • @classicalguitargirl
    @classicalguitargirl 8 หลายเดือนก่อน +16

    I had my right knee replaced at 60. Best thing ever. Worked very hard with Physio and I am very active

    • @stef3565
      @stef3565 27 วันที่ผ่านมา

      Were you bone on bone ? I am 58 , but not bone on bone and my surgeon's is still recommending. I am so nervous about this, but so done with 4 years of pain and limping.

    • @classicalguitargirl
      @classicalguitargirl 16 วันที่ผ่านมา

      @@stef3565 Yes but I was still activate and I had good muscle tone and was active despite the pain. Cartilage doesn't grow back and I didn't want to take Tylenol or other pain pills or injections forever.

  • @dianaevans7245
    @dianaevans7245 8 หลายเดือนก่อน +13

    I was 70 yrs old 6 yrs ago when I had both knees done at same time. Best decision I ever made. Quick recovery and haven't had any pain since.

  • @JeanneF77
    @JeanneF77 ปีที่แล้ว +96

    I was 73 (a few years ago) and had bilateral total knee replacement. I had added extra exercises before surgery and continue to do many of the therapy exercises to this day. My knees are great, I play tennis 3 x per week and move around the court like I did 30 yrs ago. It’s so wonderful to be pain free. No robots.

    • @janetconfer5883
      @janetconfer5883 ปีที่แล้ว +2

      Do you ever regret doing Bilaterial knee replacement? People think I’m nuts for wanting it..

    • @JeanneF77
      @JeanneF77 ปีที่แล้ว +2

      @@janetconfer5883 I never regretted getting bi-lateral knee replacements. You will recover quicker each time getting one at a time but when you multiply by 2 surgeries, it’s longer. I’d do it this way again. You’ll exercise both legs anyway, it may as well be a reason.

    • @arnoldblashak171
      @arnoldblashak171 ปีที่แล้ว

      Wow that's so nice to hear that

    • @arnoldblashak171
      @arnoldblashak171 ปีที่แล้ว

      Well my girlfriend's going to get a left knee replacement soon

    • @arnoldblashak171
      @arnoldblashak171 ปีที่แล้ว

      Wow that's good to hear

  • @marcelinomarmolejo4876
    @marcelinomarmolejo4876 ปีที่แล้ว +9

    You all gonna be ok my wife has both knees replaced almost ten years ago I can tell the recovery is ruff sometimes but the support from the family makes all the difference in the world

  • @susanhancock1634
    @susanhancock1634 ปีที่แล้ว +12

    I could not be more thrilled having both knees replaced last year (5 months apart). Went from being barely able to walk four months ago to now walking mostly pain free at least a 1/4 mile every day, without a cane. Only wish I had the knees done sooner. It has also helped my spine - a lot! With both knees level, my back is straight and most of my back pain is gone. Wish I'd had them done years sooner. I didn't think surgery was all that painful - but physical therapy was essential. Every day I try to walk a little further, and hope to be able to walk at least a mile every day, eventually. Life is good again and I am back shopping, doing housework and thank God every day that I can walk pain-free again.

  • @fatherguidosarduchi5204
    @fatherguidosarduchi5204 2 ปีที่แล้ว +23

    I have had the right knee replaced twice now. The first one just never worked and was painful for over 4.5 years. Finally found another surgeon. He fixed the knee by replacing the whole apparatus. And they ran supporting rods down the bones in the leg. Still can’t run and am not supposed to. But it was way more tolerable second time around. My second surgeon was a wizard. Olympia Orthopedic in Olympia Washington had the best surgeons period. Thanks much to Dr. Wood

    • @halfmanhalfamazing7392
      @halfmanhalfamazing7392 ปีที่แล้ว +2

      Wow, I hate the fact that you said you can't run and you not supposed to. That's just discouraging. I'm getting the replacement so I can run again.

    • @cliftondejarnette8034
      @cliftondejarnette8034 ปีที่แล้ว

      M

    • @dywagner7998
      @dywagner7998 ปีที่แล้ว +3

      Running shortens the
      life of the implant.

  • @hanaleibay6648
    @hanaleibay6648 2 ปีที่แล้ว +10

    Wish I would have seen this about 18 months ago. This is great !!!! I had a full replacement. I do have residual problems and I do not imagine they will ever resolve. GREAT SERVICE to ALL!!!!!!!!!

  • @sallycarlsson3710
    @sallycarlsson3710 7 หลายเดือนก่อน +1

    Thank you very much Prof. Bellemans for this cogent and easily understood podcast.

  • @annettelindsey3295
    @annettelindsey3295 ปีที่แล้ว +38

    Had both R and L knees replaced September 2021, best decision I made for a better quality of life. So thrilled to have them done at same time. Not a good choice for everyone. I have excellent upper body strength and 52 years old, years of softball catching and overweight played havoc on me, was walking bent. Gained 2" in height back after being replaced. Feels good to walk straight again.

    • @rickhammond2473
      @rickhammond2473 ปีที่แล้ว +1

      Question for you How is your knee doing do you have flexibility are you able to straighten the knee out? My girlfriend is having a problem walking with her full knee replacement hers was done April 2021.

  • @jaynekranc8607
    @jaynekranc8607 3 หลายเดือนก่อน +1

    I had therapy I had cortisone. I had gel shots. Finally five weeks ago I had TKR. I wish I could have done it earlier. I wanted it and knew I needed it.

  • @Rosie-wj1le
    @Rosie-wj1le 8 หลายเดือนก่อน +2

    Very informative presentation . I see my ortho next week and will ask about bone on bone only replacement. Thanks, doctor.

  • @ginapopomay
    @ginapopomay ปีที่แล้ว +5

    At 59 I had bilateral TKR. In a couple months time, all my pain was gone! Quality of life improved immensely. I am so blessed to have had this done.

  • @suecave7139
    @suecave7139 2 ปีที่แล้ว +82

    I had L knee total in July 2019, R knee total in November 2019. I was bone on bone, and the pain before was near constant, often waking me up in the night. I’m thrilled with both of my knees. Best medical decision I ever made. Recovery was brutal, but I learned that I’m a lot stronger than I thought I was.

    • @annfrancoole34
      @annfrancoole34 ปีที่แล้ว +16

      Sue Cave I had bone on bone but absolutely no pain, could sit all day, lie in bed but the minute l started to walk it was so painful and as for standing OMG would die if I went somewhere and there was no seats. I was a master at making excuses to family/friends to avoid going to different functions. Did not have to take pain killers. Put it off for so long because I was afraid. Before Covid19 went to the swimming pool every day to exercise because it was easy. Then the pools closed during Covid19, media were saying keep active, go out everyday for a walk for at least 20 minutes anyone can do it - well no they cant. So took the bull by the horns and had it done December 2020 and have never looked back, the difference it made is unbelievable, was sorry I left it for so long. I did everything they said about exercise and physio twice a day for 6 weeks.

    • @suecave7139
      @suecave7139 ปีที่แล้ว +6

      @@annfrancoole34 Good for you! You overcame your fear and discovered strength you never thought you had!

    • @ahmad000almahdi
      @ahmad000almahdi ปีที่แล้ว +1

      « إِنَّ اللَّهَ وَمَلَائِكَتَهُ يُصَلُّونَ عَلَى النَّبِيِّ ۚ يَا أَيُّهَا الَّذِينَ آمَنُوا صَلُّوا عَلَيْهِ وَسَلِّمُوا تَسْلِيمًا » 🥰
      سبحان الله ... الحمد لله ... لا إله إلا الله .... الله أكبر .... لا حول ولاقوة إلا بالله.

    • @geoffcoles5738
      @geoffcoles5738 ปีที่แล้ว +3

      Everyone says recovery is brutal.....14 days now, it certain.y is

    • @annfrancoole34
      @annfrancoole34 ปีที่แล้ว +3

      @@geoffcoles5738 Preserve with the physio. I know its hard. Many a day I did not want to do but did. Keep positive. You will get there.

  • @TinekeWilliams
    @TinekeWilliams 2 ปีที่แล้ว +14

    His advice to make sure it’s bone on bone is great as I thought I was ready and so did my surgeon but 25 years later I still have the same knees and one just hurts when it rains but with warmth it goes. So be careful!

  • @arieltellis458
    @arieltellis458 10 หลายเดือนก่อน +4

    Thank you Prof. Dr. Bellemans for your informative presentation. Now I know for certain what to look for just in case I need it.

  • @rxonmymind8362
    @rxonmymind8362 2 ปีที่แล้ว +7

    I have zero cartilage in my right knee and 70% left in the other.
    Didn't get knee replacement.
    Took me a full year and half to work through it but I'm jogging/shuffling on a treadmill 3 miles doing 14 minute mile and doing ok. I'd say I'm around 70% from where I used to be. I'll take that. Still hobbling around slightly but not bad but my knees no longer hurt once I started working out. I do leg extension and curls to build up my knee muscles and that has helped tremendously.
    Time will tell but for now I'm doing ok.
    I'm 52, 5'10" 220lbs and semi muscular but honestly could use some weight loss to help.
    Everyone pain level is different but if you don't need knee replacement get on a regular exercise schedule and build up those surrounding knee muscles. Worth it.

  • @marcg3752
    @marcg3752 ปีที่แล้ว +5

    22 years in the Army, 46 years old TKR L knee 2019 after two knee reconstructions and a third attempt after wrecking the first two. No more random knee effusion, swelling, pain, etc. I was really young for this procedure but have no complaints.

  • @hughcannon3569
    @hughcannon3569 2 ปีที่แล้ว +66

    I had a total knee replacement at 64. There is a difficult rehab period, but it's absolute best thing i have done for me. There are slight changes in my mobility, but no more pain and i live a much better life. When necessary, i will have my right knee replacement without hesitation.

    • @deannarounds3295
      @deannarounds3295 2 ปีที่แล้ว +10

      I had my first knee replacement at age 59 and the second last year at age 63. I had suffered for 15-20 years following a motorcycle accident. Best thing I ever did!

    • @monaz1135
      @monaz1135 ปีที่แล้ว +5

      Thank you for your comment. I'm about to get a knee replacement and very nervous about it. Your words helped relax me ( a little)

    • @deannarounds3295
      @deannarounds3295 ปีที่แล้ว +1

      @@monaz1135 Glad to hear it - mine is still getting better every day. Do your exercises even if it hurts, don't chase the pain - take your meds and even if you cannot do everything they want you to do at least try. I promise it gets easier! Good luck

    • @deannarounds3295
      @deannarounds3295 ปีที่แล้ว +5

      @@monaz1135 Thought you would like to know that I still had very minor pain in the last knee I had replaced and I literally woke up about 8 days ago and was totally pain free. Doc said it could take up to a year to be as good as it could be - took just over 10 months so please do not get discouraged.

    • @immadimeo8625
      @immadimeo8625 ปีที่แล้ว +7

      I have to have a knee replacement and you comment made me feel better on getting it done. Thank you!

  • @PJC_intheNorth
    @PJC_intheNorth 2 ปีที่แล้ว +48

    I had a TKR with a Striker implant at age 59 in 2002 in left knee and a TKR with a Smith & Nephew implant in 2012 in right knee. Both have been incredibly successful because of the same great surgeon and a lot of personal hard work on rehab in both cases. There has never been a regret about having had both of these procedures and I remain very mobile in fast walking, activities with grandkids and living an active comfortable life.

    • @stevenlord6120
      @stevenlord6120 2 ปีที่แล้ว +3

      Which knee feels more natural or better?

    • @pestryke
      @pestryke ปีที่แล้ว +1

      Stryker not Striker

    • @PJC_intheNorth
      @PJC_intheNorth ปีที่แล้ว +3

      @@pestryke pardon the spelling mistake. After 20 years many of these details slip away.

    • @PJC_intheNorth
      @PJC_intheNorth ปีที่แล้ว +4

      @@stevenlord6120 Both are great! Prognosis data on the Stryker implant in 2002 was pretty sketchy, but 20 years later the knee function is better than it was for the previous ten years. My only regret is that my leg muscle strength at age 79 no longer allows the same range and power of motion that I had 30 years ago.

    • @angeladibble
      @angeladibble หลายเดือนก่อน

      @@PJC_intheNorth I knew what he meant.

  • @leonleon765
    @leonleon765 ปีที่แล้ว +4

    As a non medical person, this is the best explanation on knee replacement I have heard so far. I hope the good doctor can also do a video on HTO.

  • @danpiedra3910
    @danpiedra3910 ปีที่แล้ว +1

    I had R Knee TKR Feb 2021 - best decision ever! Tough rehab but I am as active as ever in sports (57 yr old male). Going for L knee TKR in November.

  • @kepckatherinec805
    @kepckatherinec805 ปีที่แล้ว +35

    I worked as an RN in a surgical recovery room and took care of many postop knee replacement patients. The info in this video is spot on. My own occasionally achy knees might someday need surgical attention. After watching this video, I feel better about that possibility. Thank you!

    • @helenpietrzyk9690
      @helenpietrzyk9690 9 หลายเดือนก่อน +1

      Having a knee replacement was the worst pain in ever had in this world. Now i need the other one done and have put off so long. Im totally scared to go thru this again. My pain was not well managed...sorry to say...

    • @lovinitall6639
      @lovinitall6639 5 หลายเดือนก่อน

      ​@@helenpietrzyk9690Find a better Dr !

    • @Diana-007
      @Diana-007 4 หลายเดือนก่อน

      @@helenpietrzyk9690make sure you are prepared this time, knowing what level of pain you may be facing 😳 have a pain relief plan, interview your anaesthetist and explain your need for a decent plan,and a good physiotherapist pre-op and post op it made all the difference to me 2nd time around. 🤞good luck 🥰

  • @notmyrealname8496
    @notmyrealname8496 2 ปีที่แล้ว +3

    Thank you for making this Video. I am in need of knee replacement, and I am 45 years old. Both knees are bad but in one knee it is only in one compartment. Thanks for giving me some things to discuss with my ortho.

  • @XX-166
    @XX-166 2 ปีที่แล้ว +3

    Thanks, this explained things better then a fast talking physician and his accompanying student almost physician who’s in the room watching the knee exam.

  • @harvey1965
    @harvey1965 ปีที่แล้ว +1

    Thank you for taking time to make this presentation: most informative.

  • @SamsSerkey
    @SamsSerkey ปีที่แล้ว +3

    Thanks Sir.. One of the best video to understand clearly, what surgery to go for.

  • @ilovetotri23
    @ilovetotri23 ปีที่แล้ว +5

    I am certain I am going to need some kind of surgical intervention. Thank you so much for highlighting the finer details of different issues. When I get a report from my doctor about what the x-ray shows, I feel I will be better prepared to make a good decision. I am glad that you highlighted the fact that some people do not feel satisfied after surgical intervention, that is important to remember.

  • @bobspittle3201
    @bobspittle3201 ปีที่แล้ว +3

    I had both done at once. Great doctor, great results. I was bone on bone. Glad not to have to deal with the pain anymore.

  • @queennikki01
    @queennikki01 2 ปีที่แล้ว +2

    thanks dr. this is so very informative. appreciate your time and help and advise

  • @bubbatennessee7531
    @bubbatennessee7531 9 หลายเดือนก่อน +2

    Thank you so much for the education.

  • @kevin43324332
    @kevin43324332 11 หลายเดือนก่อน +7

    49.5 and about to get my left knee done. glad to hear that the majority of you are happy with the results.

    • @dagmarriou8364
      @dagmarriou8364 7 หลายเดือนก่อน +2

      There exists the minority (I am in that categorie). I suggest you get a second opinion. I certainly wish I had back in 2020 because now I will walk with a can for the rest of my life as well as take morphine for the pain for the rest of my life. I never got all this information and now it is definitely too late!!!

    • @fancyfrancy2244
      @fancyfrancy2244 2 หลายเดือนก่อน +1

      @@dagmarriou8364Why? What did they do wrong? Did they cut off too much bone? I don’t understand why some people have it so easy and others have worse pain than before even after a year!!! That’s not right and you would think in this day and age they could fix it!!!

  • @christinetakahashi4462
    @christinetakahashi4462 ปีที่แล้ว +3

    I am 6 mk ths post bilateral TKR . The results have been amazing. Still recovering, but already 100 times better then pre op.

  • @neilreid2298
    @neilreid2298 ปีที่แล้ว +2

    This is very helpful and clear. Well done and thank you.

  • @towdjumper5
    @towdjumper5 ปีที่แล้ว +1

    Great Stuff! I had a torn ACL in Desert Shield and since I have two clean outs and a torn MCLon the same knee. Thanks for this info “Doc”!

  • @syedbashir786
    @syedbashir786 7 หลายเดือนก่อน +1

    Very useful information. Thank you doctor

  • @lucychattopadhyay7703
    @lucychattopadhyay7703 2 ปีที่แล้ว +3

    Thank you....this was an eye opener.

  • @HugsXO
    @HugsXO 2 ปีที่แล้ว +53

    I've had both knees replaced and I have absolutely no regrets. The 1st TKR recovery was a little painful when the got me up after surgery but the horrible debilitating pain was gone. My 2nd TKR went much smoother as I knew what to expect and I was able to do my own PT at home. My doctor was awesome and the rest of his team were #1 and vital in my recovery. I was 46 and 52 when I had my knee surgery.

    • @deannarounds3295
      @deannarounds3295 2 ปีที่แล้ว +2

      My second one was much easier ! I knew what to expect and I refused the opiates which really screwed with my mind.

    • @brandstyle3639
      @brandstyle3639 2 ปีที่แล้ว

      What TKR

    • @HugsXO
      @HugsXO 2 ปีที่แล้ว +2

      @@brandstyle3639 Total Knee Replacement 😊

    • @HugsXO
      @HugsXO ปีที่แล้ว +4

      @@DP-vo7wm Hi D P, I'm sorry you had so much pain. 😢☺ I'm surprised the doctor didn't do a nerve block or used numbing medication that lasts a couple of days🤔. That first step on your new knee is obnoxiously painful and NOTHING prepares you for it. With PT it's going to get easier and hopefully you will be pain free and able to do things you haven't been able to do. I wish you well.😊

    • @deannarounds3295
      @deannarounds3295 ปีที่แล้ว +1

      @@DP-vo7wm I refused opiates but I alternated extra strength tylenol with aspirin every 3 hours and I took it. I can tell you it gets better and do the PT as they tell you to. If it hurts still try to do it but do fewer of any that hurt.

  • @jackmehoff4613
    @jackmehoff4613 9 หลายเดือนก่อน +2

    Excellent info. Thanks!

  • @MikmaqWarrior
    @MikmaqWarrior ปีที่แล้ว +3

    My orthopedic surgeon says age doesn't matter. My first knee replacement I had when I was 44 and second knee replacement at age 53. It's not age matters, but healthier lifestyle

  • @ChiTownLegal
    @ChiTownLegal 9 หลายเดือนก่อน +1

    Very helpful information, thank you. ❤

  • @sharonpaige6330
    @sharonpaige6330 ปีที่แล้ว +8

    I'm 53 years old and have recently been diagnosed with bone on bone. My orthopedic doctor recommended total knee replacement back in January. I panicked and told him I needed to think about it and discuss it with my family. Anyway, I have an appointment coming up in May 2023. My knee has gotten worse,along with the pain, and I fell again, which didn't help. So, I've made my mind up to have the surgery. I'm nervous about it and a little scared, to be honest, but after reading all these comments, it helps a little bit, so thanks.

    • @nursecathy123cat
      @nursecathy123cat ปีที่แล้ว +4

      It is a major surgery, certainly, but I am so glad I had it done. The only glitch was I needed more pain medicine on a weekend and had trouble getting an another Rx from the surgeon's office. Make sure you and the surgeon agree on a care plan for pain management.

  • @buckydewit
    @buckydewit ปีที่แล้ว +5

    This is a great video! Thank you very much, concise and at the same time filled with information!

    • @arnoldblashak171
      @arnoldblashak171 ปีที่แล้ว

      Oh come on the Forgotten year was it really that good or you just saying,????

  • @jhrom9311
    @jhrom9311 2 ปีที่แล้ว +30

    Very good info coming from a patient perspective as i've had 11 knee surgeries with the last one being a stryker TKR with robot. I had a misaligned ACL in my early 20s that gave me premature wear and tear on the joints. I've gone through the ringer so now at 52 my knee was in severe pain, debilitating really, at random moments. When the pain hit it would take 2 to 3 weeks to reside....i'd be ok to walk around then a few months later boom intense pain, debilitating and I'm in bed till it gets better. I went to the stone clinic in SF and had a biological knee replacement (cadaver miniscus and cartilage graft) in my late 30s and that bought me time. Now I'm at 5 weeks...trying to ween off of a cane. Feels real smooth and the arthritis (dull ache) is kind of gone but still too early to make the call i'm in the lucky 85% bracket...but i have good hopes...feels real good. First month was definitely a trial and had a lot of pain but getting through it one day at a time. Thanks for the video.

    • @hughcannon3569
      @hughcannon3569 ปีที่แล้ว

      My docor told my to give it about 6 months before i judged his work. He was right and i only regret i didn't have it done sooner.

    • @FamilyRhodes
      @FamilyRhodes ปีที่แล้ว

      How old were you after biological knee replacement?

    • @jhrom9311
      @jhrom9311 ปีที่แล้ว

      @@FamilyRhodes late 30s

    • @FamilyRhodes
      @FamilyRhodes ปีที่แล้ว

      @@jhrom9311 thank you. tough procedures. i've had 5 on this knee, with the most recent 2 being a biologic replacement without meniscus, plus a high tibial osteotomy (HTO) at 2018, then a surgical biologic injecting into the femur plateau behind the graft.

    • @jhrom9311
      @jhrom9311 ปีที่แล้ว

      @@FamilyRhodes hows it feeling now and whats your age?

  • @jacekwalawski1027
    @jacekwalawski1027 2 ปีที่แล้ว +3

    Do admire Your strict, simple presetation. Hope to hear You in Paris 😊

  • @barbaraebner5889
    @barbaraebner5889 ปีที่แล้ว +5

    I had bilateral TKR and I would never advise anyone doing that. My outcome was good but I did not realize how difficult rehabilitation on 2 knees would be. I will say PT before helps and PT post surgical is a must if you want to walk right.

  • @PLeejo
    @PLeejo ปีที่แล้ว +2

    Wow. Clear, short & sweet. Awesome!

  • @fuyu5979
    @fuyu5979 2 หลายเดือนก่อน +1

    Awesome n very informative upload. Kudos for explaining in more detail when to have total or partial knee surgery n why. Kudos for vid. New subscriber because of this vid. Anticipating ur next one. Peace

  • @kerryobrien71
    @kerryobrien71 2 ปีที่แล้ว +1

    Great information, nice simple and clear.

  • @SuperTerminator50
    @SuperTerminator50 2 ปีที่แล้ว +3

    I had first TKR aged 57, and I had second TKR 18 Months ago, I truly could not be Happier, the results are WONDERFUL, recovery period is a little difficult ,{ second one was much better } my life has been completely transformed, to be pain free, and Walk whenever and wherever I want is incredibly liberating...One Important point, I did , and still do work hard on my fitness, this really helps with the recovery process ...{ I am 61 now }..

  • @toml.1234
    @toml.1234 ปีที่แล้ว +7

    I had TKR on both knees 1st in October 2021, 2nd in March 2022, both were with robotic surgery with on of the best orthopedic surgeons in Western Colorado, extensive physical therapy after surgery by one of the best PTs and her team. I have no knee pain, this has improved my quality of life immensely

  • @stephaniec.2520
    @stephaniec.2520 2 หลายเดือนก่อน +1

    You are providing a true service by sharing this information with the lay public. Thank you for this. I am a prospective candidate for surgery on both knees. Sorry if name icon comes up 2x. Some sort of computer glitch.

  • @albertocanetti1220
    @albertocanetti1220 2 ปีที่แล้ว +2

    Thank you so much for this informative video.

  • @bernadettemendoza8058
    @bernadettemendoza8058 2 ปีที่แล้ว +1

    Thank you. Don’t know enough just yet. Collecting info.

  • @dagmarriou8364
    @dagmarriou8364 7 หลายเดือนก่อน +1

    I wish I had this information in April 2021 when I was operated on (unicompartimental in left knee internal). There was no bone on bone but had been suffering from arthritis, etc. in my left knee for over 15 years. (I am currently 64). I have had nothing but problems with my unicompartimental prothesis since the operation. Cysts, oedemas,swolleness, algoneurodystrophie,.....I can go on for 2 more sentences. I have a new surgeon that has recently told me all of what you told me but now it's too late. I recently had a scintigraphie again and was told that I have a descellement prothetic......what will they do now??? For a woman who used to do 2 hour walks with my dog and weighed a trim 50 kilos, I have gone up to 65 kilos and walking with a cane. Please listen and abide to Prof. Dr. Bellemans video and information thereof. He is 100% correct!!!

  • @carlorocky
    @carlorocky 2 ปีที่แล้ว +3

    At age 46, I sustained a knee injury and underwent surgery to remove my entire meniscus, however, my 70% torn ACL was not addressed. After surgery and for two years, I could barely walk even with the use of a cane. I’m 49 now and recently started experiencing severe pain in my knee cap and top of my tibia. However, I am not bone on bone yet, but I’m pretty sure it’s time for TKR. What a tough ordeal!

  • @dltree1234
    @dltree1234 11 หลายเดือนก่อน +7

    When I was 55 my orthopedic doctor said I needed a knee replacement. I didn't ask questions just figured he knew what he was taking about. Knee replacement done and 6 months later had the other one done. Jump forward I am now 72. I still have some discomfort when walking alot but no real problems. Have also had one shoulder replaced and will be getting the second one done sometime this year

  • @markweiss39
    @markweiss39 ปีที่แล้ว +1

    Fantastic, clear, and compelling.

  • @monaz1135
    @monaz1135 ปีที่แล้ว

    Loved the video. Lots of useful information. However, you don't have to rush through it.

  • @moiraduplessis2900
    @moiraduplessis2900 ปีที่แล้ว +4

    I had total knee replacement almost three mnths ago. I am happy. No pain and i can walk. Not too worried being very active as i am 70 and was never active before i had op. Doing well and so grateful. Next knee in Jan

    • @FlorentinaStemate
      @FlorentinaStemate 11 หลายเดือนก่อน +1

      Hello, so glad the surgery went good for you! I have some questions if you could be so kind to answer, because my mother, also, had this surgery proposed to her as an ultimate form of therapy.
      1. After the surgery can you walk without any pain? For example could you walk 3-4 hours without pain?
      2.can you climb/go down some stairs without pain and how many stairs?
      3. Do you feel any stiffness or numbness in your leg if you walk or sit on a chair/sofa?
      Did you100% recover your mobility? Can you go for 0-120 degrees without pain?
      Can you fast walk?
      Can you kneel and get back up without pain and without help from someone/ cane?
      Your answer would really help me very much. Thank you

  • @johannajacobavanderwatt2183
    @johannajacobavanderwatt2183 2 ปีที่แล้ว +1

    Thank you very much for the information.

  • @gloriagarza2873
    @gloriagarza2873 ปีที่แล้ว +4

    I had both knees replaced but 20 yrs later they wore out so I had both replaced again and I'm doing great.
    Only thing it was very painful on recovery on my right knee but it healed fine.

    • @kartheleenocampo
      @kartheleenocampo ปีที่แล้ว +1

      Did you have it replaced both again at the same time?

  • @paulbfields8284
    @paulbfields8284 2 หลายเดือนก่อน

    I had my knee split wide open in 86 and arthroscopic done immediately. It was a shining success. Now at 67 that knee is bad and the mri showed bone on bone. I’m waiting till fall to have it replaced. I’ve been reticent to do this but this video helps immensely. My brother had two replaced at once 18 years ago and us now 83.. he told me “just get it done and do the therapy as directed no matter how much it hurts “.. attitude is part of the success. I’m going in with a much better one now. Thank you!!

  • @groblerful
    @groblerful ปีที่แล้ว +19

    I had a total left knee replacement at age 66. I had little pain and recovered quickly. It extended my working life by 10 years. One unfortunate side effect has been a lot of ankle pain in both ankles, I think caused by a failure to get the leg alignment quite right. ( I tend to be slightly knock kneed ).

    • @user-gr7sc4th9c
      @user-gr7sc4th9c 7 หลายเดือนก่อน +1

      Go see a podiatrist and get personal made inserts to correct.

  • @mrth1702
    @mrth1702 ปีที่แล้ว +14

    I have been quite concerned about seeing an orthopedic surgeon next week. I live in a community with many seniors who have had knee surgery. Most people have been quite disappointed because the knee pain persists. I always thought all knee surgery was the same. Thanks to you Professor , I am well prepared for the inevitable scenario. I am 82 F

    • @mrspunk61
      @mrspunk61 ปีที่แล้ว

      what happened?

    • @mrth1702
      @mrth1702 ปีที่แล้ว

      What happened in spite of debilitating pain in my rt knee & now both, I've been told I need a full rt hip replacement and that my knees will 'probably be OK after hip replacement. I just rcd a call from scheduling. I am on a 2 month wait. 4/3/23. I was hoping for hip resurfacing instead of full hip. Dr said I am too old,83, to have that. I am disappointed because of that and the long anticipation.

    • @mrspunk61
      @mrspunk61 ปีที่แล้ว

      @@mrth1702 Good luck with that, I hope that works for you. That seems strange that your knee pain would go away by fixing your hip but I’m a painting contractor and not a Dr. My left knee is going down hill but I don’t want replacement. I’m getting gel shots coming up to see if that will hold it off. Not happy about the situation. Be well!

    • @mrth1702
      @mrth1702 ปีที่แล้ว

      @Robert Carberry thank you for your correspondence . Two more surgeons opinions. Both said hip. I chose the best. I just have to wait until 4/3. I've since learned their is a "Resurfacing proceedure." The Dr. resurfaces the the cut is small in the front. I was told it's only for men (?)
      and I'm too old (83)anyway. 😠. I'm in better shape than most men 65+.As a matter fact I was invited to lunch by a fellow my sons age😉 i wish you well. Stay off ladders when you paint. Knees are very unpredictable.

    • @frankkeel8410
      @frankkeel8410 9 หลายเดือนก่อน

      Ladders are a bitch so😊 😂is roofing

  • @elizabethwalter6310
    @elizabethwalter6310 2 ปีที่แล้ว +7

    Most of the positive comments seem to come from people who experienced severe pain for a long time before the surgery. Mine came after an accident. I had no pain before the surgery even though I had been told previously in X-rays that I had bone on bone. Then one day I fell and the best solution was the TKR. Nine months later I’m still dealing with some pain, mostly muscle related. I think I might have appreciated it more if I had truly been in pain long term before the surgery.

  • @imranqureshi-nj1di
    @imranqureshi-nj1di 3 หลายเดือนก่อน

    grt video,i am going to have knee replacement right side,was worried now,im ready,thankssss alot sir.

  • @glensmall9194
    @glensmall9194 2 ปีที่แล้ว +1

    Terrific video. Thank you!!!

  • @conningdale8805
    @conningdale8805 2 ปีที่แล้ว +9

    Thank you for explaining it so well. I have bone on bone and have been advised I need TKR in both knees. I'm 71 and in good shape, but I just can't walk very far any more. Have decided to put surgery off, and try physio and exercises. So far its helping, and I'm coping with the problem.
    Thanks again. Interesting video.

    • @jondstewart
      @jondstewart 2 ปีที่แล้ว

      71?! I’m 54 and can’t walk at all without it hurting 90% of the time. I’m bone on bone in one compartment of both knees and have cartilage in one area and the middle is 90% gone. I’ve been too active and worked hard most of my life, big mistake!

    • @XX-166
      @XX-166 2 ปีที่แล้ว +2

      I just completed the PRP treatment a month ago and I’m about 2-3 more months out to see how well my body will help it’s growth. I have a torn meniscus for the 3rd time and I’ve been treating this knee very conservatively with viscous gel shots.. 1 a week for 4 weeks and squats to strengthen the quads, core and glutes so we will see how things go. I’ve been putting off the replacement idea but according to the X-rays I’m not bone on bone hence the PRP and gel shots. I could be a robotic one side only but I’ll stick with the above treatments.

    • @robertmorgan6179
      @robertmorgan6179 2 ปีที่แล้ว

      CONFORMIS PROCEDURE. SPECIALIST IN LONDON BRIDGE HOSPITAL MR ian mcdermott

    • @brandstyle3639
      @brandstyle3639 2 ปีที่แล้ว

      X X what prp we are not Doctor to know medical short term

    • @XX-166
      @XX-166 2 ปีที่แล้ว

      @@brandstyle3639 that answered the questions for us all.

  • @lisajel52
    @lisajel52 2 ปีที่แล้ว

    I had TKR Jan 28th this year and my surgeon used robotic assistance on my surgery.

  • @sajidqaiser477
    @sajidqaiser477 4 หลายเดือนก่อน +1

    Very very good information. Thank you a lot.

  • @lehelm7834
    @lehelm7834 ปีที่แล้ว +1

    informative, nice presentation. Thank you for it

  • @ellb8795
    @ellb8795 7 หลายเดือนก่อน +1

    Had my TKRs - staged, bilateral - by Mathias Bostrom at HSS in NYC this year. Awesome experience. Robots used there.

  • @manojdivatia
    @manojdivatia 8 หลายเดือนก่อน +1

    THANKS FOR MAKING CLARIFICATION ON SURGERY FOR KNEE OA 👌👌👌👍👍👍🙏🙏🙏🙏

  • @Vettevetteg
    @Vettevetteg หลายเดือนก่อน +1

    7 days post surgery of p.k.r. but with t.k.r. cut😢 I have chronic degenerative osteoarthritis in both knees and back. Did not expect such a huge cut for a partial knee replacement 🥺 Had bone on bone in my knee and was the last resort! 53 btw
    They also set me up for appointments 3 days out from surgery I had a post-op with my primary doctor, 5 days out I had physical therapy and 7 days out of post surgery I had another appointment 45 minutes away from my home with my pain clinic.

  • @lexwaldez
    @lexwaldez ปีที่แล้ว

    I see the ortho surgeon later this week. Thank you for the info; much appreciated.

  • @Krisztofski
    @Krisztofski ปีที่แล้ว +2

    Heel duidelijke uitleg!! Waarvoor dank.

  • @kmcshanemail
    @kmcshanemail 2 ปีที่แล้ว +5

    Hello Prof. Bellemans, I've had medial compartment bone-on-bone for 12 years and still walk 18 holes three times a week without pain. I'm also a (now retired) nurse anesthetist always working at University Hospitals (Denver, Boston) in academic OR settings. Done anesthesia for countless totals, esp. at New England Baptist and Tufts.
    I've kept a keen eye on unipolar options, and was discouraged by the orthopods for being over 65. I'm in excellent health, no meds, active sailing, biking, golfing...but unable to handle tennis, skiing or anything requires running d/t pain.
    Am I a unipolar (partial) candidate, would you say?
    Thank you for a very informative and succinct presentation.

  • @jayanthakudahetty2960
    @jayanthakudahetty2960 2 ปีที่แล้ว

    Pl also inform what patients need to know and should be aware before undergoing hip replacement surgery.

  • @hudsonchalmers6504
    @hudsonchalmers6504 2 ปีที่แล้ว

    A honest evaluation at last. The guys here in South Africa, just want to get you signed up.

  • @petercollins1691
    @petercollins1691 ปีที่แล้ว

    Dear MMT: I read your comments about your TKR with great interest as I am sitting on the fene in my research trying to decide on either a pkr or a tkr. I am 77 year old however am in great shape to do ther type of labore work that I enjoy: removing and reapairing neighbors flat tires for free and solving their HVAC system problem free. I do it for no mony bcase I need labor projects to feel tha I am stll contributioh.

  • @jeffbrosky4696
    @jeffbrosky4696 2 ปีที่แล้ว

    Had both done 10 years apart 1 for work place damage and the other full of arthritis and bone on bone

  • @loversLorraine
    @loversLorraine ปีที่แล้ว

    He is absolutely right I made a mistake when I did my partial knee replacement but I did have bone on bone on one side but not the other side and then after 5 years then the other side started then the doctor had to go back in my knee remove the partial knee replacement and then the full knee replacement I would never again ever make that mistake.

  • @rrch1312
    @rrch1312 2 ปีที่แล้ว +2

    Great to see I'm not the only one struggling... I'm 59 now and I feel that I have to make a decision on going for surgery or not.... Pain is a daily companion,

    • @lisatodd
      @lisatodd ปีที่แล้ว +1

      I'm 58 and trying to make the same decision I have bone on bone and need total knee replacement on both knees I'm very nervous about having this done

  • @imranchippa1581
    @imranchippa1581 ปีที่แล้ว +1

    Very informative. Thanks.

  • @sheilalewis1054
    @sheilalewis1054 2 ปีที่แล้ว

    Ty, education is a must on this topic...

  • @katep4808
    @katep4808 2 ปีที่แล้ว +2

    Thank you!

  • @dianesowman6943
    @dianesowman6943 2 ปีที่แล้ว

    Recommended to have TKR as my Patella is bone on bone and badly worn plus I have a HUGE Baker Cyst. My knee joint is good. Apparently Patella resurfacing is still very new and my surgeon is reluctant to try it as he feels I will only need a TKR anyhow eventually.. I am 63, slim and super active so I really hope it will go well despite my joint being not bone on bone.

  • @annasutton8078
    @annasutton8078 ปีที่แล้ว

    Thank you doctor. I am the sort of person who likes to know what I may be dealing with. At least when faced with the prospect of knee sugery I will be more informed.
    Faced with a ortho consult you will be able to ask the questions.So often there is a lack of communication to the patient exactly whats involved.

  • @carolinepeter6729
    @carolinepeter6729 2 ปีที่แล้ว +2

    Clear explanation.

  • @jackieb5070
    @jackieb5070 2 ปีที่แล้ว +1

    told to have total knee.......as was my friend.......she had partial in both knees with robotic surgery and is doing well....i am scheduled for partial with same surgeon to correct valgus.....

  • @dougschmidt5132
    @dougschmidt5132 2 หลายเดือนก่อน

    67 years old, both knees have OA. Been doing extensive strengthening in the gym and 2 miles per day walking with off loading braces. I am scheduled next week for TKR of left. I am hoping all my presurgery workouts pay dividends in post surgery PT and full recovery.

  • @anthiahibbert4410
    @anthiahibbert4410 2 ปีที่แล้ว +5

    I think I’ve been one of the unlucky ones.I had my first TKR in 2012 when I was 62,after a lot of pain due to wear and tear of keeping very fit and doing Martial Arts for most of my life,until I was 55.The first TKR was giving me pain and was found to have been put in at the wrong angle.Needless to say,I found a great Surgeon who replaced it in 2015 with another TKR, which wasn’t doing too bad until 2020,when I unfortunately suffered a Cardiac Arrest due to Sepsis attacking the Mitral Valve in my heart,which had to be replaced with open heart surgery.I was in hospital for many weeks recovering.Three weeks out of hospital and the Sepsis had moved to my TKR as it was metal.Which meant I had to have it removed and replaced yet again,in two stages. I am now in considerable pain,and finding it difficult to walk,even after lots of physio.I’m told it will take a long time to settle down,and see what it’s like in Jan 2023.If I ever needed to have my other knee done,I would decline.I couldn’t go through all the pain again.Keeping fit all your life isn’t all good.

    • @groblerful
      @groblerful ปีที่แล้ว +1

      I'm sorry to hear of your bad luck. I had a succesful TKR 11 years ago at age 66. My other knee is now starting to give trouble, but I intend to hang on to it as long as I can.

    • @tagqasim4668
      @tagqasim4668 ปีที่แล้ว

      I'm so sorry for all your pain and suffering. I wish you much healing and progress. Hang in there!

  • @marianwalsh6297
    @marianwalsh6297 2 ปีที่แล้ว +2

    I had total tkr in 2000 I was 44 My doctor said I had no bone left I was in agony for years before it was done it left me with a limp I don't mind that best thing ever

  • @ATIWatchReviews
    @ATIWatchReviews ปีที่แล้ว +1

    It will be interesting to see future/long-term studies on newer implants and robotics on TKR outcomes. Some surgeons are now saying a majority of patients after TKR could return to sports/running (I think mainly robotic surgeons are saying this)! That's fantastic if true! The only thing I will say is ultimately, even if it wasn't bone-on-bone but the patient's quality of life was severely hindered, you would think a TKR would in those cases be justified (if no other intervention could help).

  • @ElizabethRodriguez-sk1hq
    @ElizabethRodriguez-sk1hq 3 หลายเดือนก่อน

    Thank you for the information

  • @daghostxxx1797
    @daghostxxx1797 ปีที่แล้ว +15

    All these positive results ! I had my left knee replaced around 2012 @ 60yrs of age, @ Bronson Hospital, in Kalamazoo. I had RA pain in the spring & fall every yr. that was unbearable, weirdly enough, when warmer weather came around, I'd get better. My regular doctor informed me to stay away from a full replacement, but I wanted the pain to go away. Short story, I have been in constant low-grade pain since it was replaced, its hurting right now sitting in my chair. Do not believe all the beautiful stories !

    • @christopherbrown5141
      @christopherbrown5141 ปีที่แล้ว +3

      Believe this person ,, have had so much pain last few years,worse after replacement than before! Now 7 years later am getting same side hip replacement because out of line knee has caused damage.

    • @gailcole9913
      @gailcole9913 11 หลายเดือนก่อน +2

      A lot depends on the skill of the surgeon. Replacements need to be positioned exactly. Also your physical therapists skill helps. Sorry you are having trouble.

    • @citygirl9615
      @citygirl9615 8 หลายเดือนก่อน

      Your surgeon was a quack. You should have sued him